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Number of results
2008 | 80 | 6 | 315-320

Article title

Video-Assisted Transhiatal Esophagectomy in the Treatment of Esophageal Cancer

Content

Title variants

Languages of publication

EN

Abstracts

EN
The aim of the study was the analysis of sugical treatment of esophageal cancer using the video-assisted transhiatal esophagectomy (VTE).Material and methods. Between May 1994 and December 2001 a total of 115 patients with esophageal cancer underwent VTE. The study group included 102 men (89%) and 13 women (11%). Eighty - six (75%) had squamous cell carcinoma and 29 (25%) had adenocarcinoma.Results. The mean operative time was 4.5±1 h. Short-term complications occurred in 70 patients (60%), where the most common were pulmonary complications (27%, n=31), recurrent laryngeal nerve injury (17.4%, n=20), anastomotic stricture (14%, n=16) and anastomotic leak (10.4%, n=12). Early re-laparotomy was performed in 7 patients (6%). The hospital mortality rate was 9%. Follow-up included 86 patients. Long-term complications were present in 28 patients (33%). The most common complication was anastomotic stricture in 18 patients (21%). There was no statistical difference observed in survival betweeen patients operated on for squamous cell carcinoma or adenocarcinoma. Median postoperative survival was 10 months for squamous cell carcinoma and 16 months for adenocarcinoma. The 1-, 3- and 5-year survival rates were 42%, 10% and 5%, respectively, for squamous cell carcinoma and 63%, 16% and 0%, respectively, for adenocarcinoma.Conclusions. Video-assisted transhiatal esophagectomy is a useful method for esophageal cancer treatement. The use of this technique did not improve short- or long-term results of esophageal cancer management.

Year

Volume

80

Issue

6

Pages

315-320

Physical description

Dates

published
1 - 6 - 2008
online
19 - 6 - 2008

Contributors

author
  • Department of Gastrointestinal Surgery, Silesian Medical University, Katowice
  • Department of Gastrointestinal Surgery, Silesian Medical University, Katowice
  • Department of Gastrointestinal Surgery, Silesian Medical University, Katowice

References

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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_v10035-008-0043-0
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